The Effect of COVID-19 on Spine Surgery.

IF 4.6 Q2 MATERIALS SCIENCE, BIOMATERIALS

ACS Applied Bio Materials Pub Date : 2024-11-01 Epub Date: 2023-05-02 DOI:10.1177/21925682231173368

Emily S Mills, Kevin Mertz, Ethan Faye, Andy Ton, Jeffrey C Wang, Raymond J Hah, Ram K Alluri

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引用次数: 0

Abstract

Study design: Retrospective cohort analysis.

Objective: To characterize the impact of COVID-19 on utilization of the ten most common spine procedures and percentages of outpatient procedures.

Methods: The PearlDiver national database was queried from January 2010 to April 2021 for short (<6 segments) and long segment posterior instrumented fusion (≥6 segments), posterior cervical fusion, anterior cervical decompression and fusion (ACDF), cervical laminectomy, laminoplasty, and disc arthroplasty, lumbar laminectomy, microdiscectomy, and interbody fusion. Annual procedure utilization between January 2010 through April 2021 was recorded and compared. Monthly trends were compared to January 2020. Outpatient trends were compared between 2010-2019 and 2019-2021 using segmented linear regression.

Results: Overall, all ten procedures decreased 4.3% in 2020 compared to 2019 and increased 6.3% in 2021 compared to 2019. March and April of 2020 had the largest decreases, with March 2020 decreasing 18.2% and April 2020 decreasing 51.6% compared to January 2020. Despite increasing COVID cases in January 2021, overall procedure utilization decreased only 1.8% compared to January 2020, and increased later in 2021 with April 2021 case volumes increasing by 138% compared to January 2020. Outpatient utilization of short segment posterior lumbar fusion and lumbar interbody fusion significantly increased during this time (P < .001).

Conclusion: The greatest impact on spine surgery volume from the COVID-19 pandemic occurred in March and April 2020. Spine procedure utilization was otherwise similar or increased compared to January 2020. Additionally, the volume of outpatient short segment posterior fusion and lumbar interbody fusions increased during this time period.

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COVID-19 对脊柱手术的影响。

研究设计/设置：回顾性队列分析：目的：描述 COVID-19 对十种最常见脊柱手术利用率和门诊手术百分比的影响：从 2010 年 1 月到 2021 年 4 月，在 PearlDiver 国家数据库中查询了短椎（≥6 节）、颈椎后路融合术、颈椎前路减压融合术（ACDF）、颈椎椎板切除术、椎板成形术和椎间盘关节成形术、腰椎椎板切除术、显微椎间盘切除术和椎间融合术。记录并比较了 2010 年 1 月至 2021 年 4 月期间的年度手术使用情况。每月趋势与 2020 年 1 月进行了比较。使用分段线性回归法比较了 2010-2019 年和 2019-2021 年的门诊趋势：总体而言，与 2019 年相比，2020 年所有十项手术均减少了 4.3%，而与 2019 年相比，2021 年则增加了 6.3%。2020 年 3 月和 4 月的降幅最大，与 2020 年 1 月相比，2020 年 3 月下降了 18.2%，2020 年 4 月下降了 51.6%。尽管 2021 年 1 月的 COVID 病例有所增加，但总体手术使用率与 2020 年 1 月相比仅下降了 1.8%，2021 年下半年有所上升，2021 年 4 月的病例量与 2020 年 1 月相比增加了 138%。在此期间，短节段后路腰椎融合术和腰椎椎间融合术的门诊使用率显著增加（P < .001）：结论：COVID-19 大流行对脊柱手术量的最大影响发生在 2020 年 3 月和 4 月。与 2020 年 1 月相比，脊柱手术的使用率与 2020 年 1 月相似或有所增加。此外，短节段后路融合术和腰椎椎间融合术的门诊量在此期间也有所增加。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

ACS Applied Bio Materials Chemistry-Chemistry (all)

CiteScore

9.40

自引率

2.10%

发文量

464